摘要
目的:观察显微镜辅助神经束膜松解治疗中重度肘管综合征的临床疗效。方法:回顾性分析唐都医院骨科2010年6月至2015年6月行显微镜辅助下神经束膜松解和单纯尺神经前置术治疗的77例中重度肘管综合征患者的临床资料,比较两种术式对中度及重度肘管综合征患者术后优良率的差异。结果:中度肘管综合征或不明病因的重度肘管综合征患者两种术式的术后优良率分别为100%、91.67%,差异无统计学意义(P=0.706);伴随肘外翻畸形或骨性关节炎的重度肘管综合征患者行显微镜辅助神经束膜松解术后优良率为96.13%,明显高于行尺神经前置术的76.47%(P=0.006)。结论:对伴随肘外翻畸形及骨性关节炎的重度肘管综合征采用显微镜辅助神经束膜松解可以改善治疗效果。
Objective：To observe the clinical effects of microscope assisted interfascicular neurolysis in the treatment of moderate to severe cubital tunnel syndrome（CTS）.Methods：From June 2010 to June 2015,patients with moderate to severe CTS in our department were treated with microscope assisted interfascicular neurolysis or anterior subcutaneous transposition of ulnar nerve only.In this retrospective study,the effectiveness of the two treatments was evaluated and the percentage of the cases received good or excellent recovery were calculated.The excellent and good rate was compared in moderate and severe CTS patients between these two kind of different operations respectively.Results：No significant difference in postoperative excellent and good rate was found in moderate CTS patients and severe idiopathic CTS patients between interfascicular neurolysis group or anterior subcutaneous transposition of ulnar nerve group.In severe CTS patients with elbow valgus deformity or osteoarthritis who underwent interfascicular neurolysis had a better postoperative excellent or good rate（P〈0.05）.Conclusion：The severe cubital tunnel syndrome with elbow valgus deformity or osteoarthritis patients treated with microsurgical interfascicular neurolysis operation can achieve better clinical effect.
作者
陈佳
张吉涛
李政
郝定均
单乐群
CHEN Jia;ZHANG Ji- tao;LI Zhen;HAO Ding- jun;SHAN Le- qun(Department of Orthopedics, Tangdu Hospital, the Fourth Military Medical University ,Xi＇an 710038, China;Department of Hand Surgery, No. 153 Central Hospital of PLA, Zhengzhou 450042, China;Department of Orthopedics ,Xi＇an Honghui Hospital ,Xi＇an 710054, China)
出处
《现代医学》
2017年第11期1548-1551,共4页
Modern Medical Journal
基金
国家自然科学基金资助项目(30901784
81272072)
陕西省社会发展科技攻关项目(2016SF-115)
关键词
肘管综合征
神经束膜松解
显微镜
cubital tunnel syndrome
interfascicular neurolysis
microscope
